Rehabilitation of patients suffering from consequences of burn injury is actual problem in plastic surgery. There is no unified strategy defining optimal terms and stages of treatment, possibility and advisability of simultaneous interventions on different anatomical areas, combination of surgical and conservative treatment while it is necessary for decrease of rehabilitation terms in victims. On basis of twelve-year experience of 1246 patients with consequences of burn injury the authors developed universal algorithm for optimization of surgical treatment, improvement of results and reduction of treatment time.
View Article and Find Full Text PDFVestn Ross Akad Med Nauk
October 1994
On the basis of treatment of more than 5,000 patients with postburn cicatricial contractures of the joints, deformities and defects of the soft tissues the authors studied the complications and their causes. Suppuration of the operative wounds, necrosis of grafts and the edges of the wound, and hematomas are the main complications. The character of the complications and their sequelae are connected directly with the specific features of the surgical intervention and type of plastics (free, flap, microsurgical, dermatotensia), as well as with the anatomical features of the tissues and vessels damaged by the burn, which reduce the resistance to infection and facilitate the appearance of circulatory disorders.
View Article and Find Full Text PDFKhirurgiia (Mosk)
September 1990
The tissue extension method was applied in 13 patients with cicatricial alopecia of the scalp. Eighteen Soviet-made tissue expanders were used. Clinical experience showed that the sequelae of burns of the scalp attended by alopecia should be treated by tissue extension.
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